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Anthony Bourdain and Kate Spade: Why Americans are Suicidal

Another tragic news story this morning; Anthony Bourdain committed suicide in his France hotel room. Chef, author, and host of the wildly successful series “Parts Unknown,” 61-year-old Bourdain seemed to have the dream life to the rest of us. This news after famous 55-year-old designer, Kate Spade, was pronounced dead by suicide Tuesday. She left behind a 13-year-old daughter. Devastating. So many speculations about depression and marital conflict. We are all asking, why? How could this be?

It’s not just celebrities that struggle with emotional overwhelm. Too often parents in my practice sit on the edge of my couch terrified that their child’s social media post about wanting to “go dark” and their announcement that they have the lamest parents ever is the red flag that they could lose him to suicide. Teens tell me how burdened they are with worry about their friends who are cutting, using drugs, and talking of suicide. They keep their confidence and listen; all the while caught in terror that telling an adult will violate the loyalty code but not telling may result in a more tragic consequence. Those who are suicidal leak their pain out bit by bit, desperately grasping for a moment of contentment and calm. Suicide rates are up by 25%, yet we aren’t clear what factors support this devastating trend.

Although many suicidal people are depressed or addicted to drugs or alcohol, many are not. The one thing suicide completers have in common is a perfect storm of events that culminate in five minutes of the courage it needs to escape their current situation. For those who are suffering from terminal illness, chronic pain, addiction spirals, mental illness, and/or horrific life circumstances, we can kind of understand that logic. After all, who hasn’t dreamed of a moment of relief when mired with emotional or physical pain?

Those Left Behind

What we don’t understand, and in many circumstances can’t forgive, is how can the suicidal burden friends and family with such devastating feelings of confusion and loss. When one loses a loved one to suicide, they are left ruminating over what they missed, how they might have intervened. They grieve, and they rage. They become trapped in that vicious cycle of fear and confusion similar to the suicide victim, usually for far longer than the suicide victim contemplated their plan. With postmortem analysis, there’s no opportunity to discover all the pieces of the puzzle or intervene for recovery. The decision to give up has been made for them, usually without sufficient explanation or warning. If one didn’t know better, it would seem suicide is a violently hostile behavior aimed at all those who love.

We must know better, for the sake of Asia Argento, Andy Spade, and Frances Beatrix Spade. And please, please, please don’t judge or shame the victims left behind. I’m disgusted with online comments blaming parents and spouses. They are suffering so much already. They need our love and compassionate support more than ever.

The truth is, most suicidal individuals I have worked with explain after recovery that they simply couldn’t generate any other alternative to escape their overwhelming feelings of hopelessness. That in the midst of it all, they were simply numb to possibilities.  This brings me to three important points when dealing with suicidal ideation.

 

Take the Time

First, to recover from life crisis, one must be prepared to take the time to process powerful feelings with the intent of working through them. That means recognizing that in the phase of emotional numbing or overwhelm, parts of the brain are actually offline. They are not available to fill in the overall picture of understanding and insight. Often it takes time to sketch in the emotional factors necessary for insight and emotional mastery. As our brain and feelings come online again, we will feel a range of sometimes baffling emotions. For some that is experienced as a slow drip, while for others it will be a firehose. For most, those feelings wax and wane based on situational cues, resulting in a rollercoaster of experience. Painful and sometimes seemingly impossible, tolerating the leaning in is necessary for the stretching of the soul that is wisdom.

To support those struggling to lean in, help them establish peaceful moments for honest, investigative discovery. These moments of authentic insight weave into profound wisdom over time that becomes the tapestry of who we really are. Coming out of a crisis with a more integrated and thorough understanding of oneself and others is called post-traumatic growth. Sometimes it is at times of extreme pain that one becomes capable of understanding the precious elements of life. The key is to lean in and patiently recognize that recovery is imminent.

Encourage Active Problem Solving

Second, work to achieve recovery by actively problem solving and making an activity schedule (take a walk, shower, eat breakfast, visit a friend, make a meal, listen to rejuvenating music, write in your journal or engage in some type of creativity). Psychology researchers have identified active problem solving as an important contributor to recovery. Active problem solving is the ability to generate and implement discrete steps to make the situation better. In contrast with passive problem solving, or relying on others or fate or luck to fix things, active problem solving can pull in just enough hope to get help or find reasons and ways to stay living until things get better.

Agreeing to Silent Witness May be Emotional Abuse

The final point I’d like to offer is how to provide the best support to a friend or loved one in pain. Too often young people in my practice shoulder the devastating burden of the emotional chaos that their friends express in private online disclosures. To seek help is a breach of trust and loyalty. But to endure the pain with the friend can wear one down to the point where they too are depleted of passion, hope, and joy. Is the solution to tell adults for help and risk angering the friend who seems incapable of tolerating yet another disappointment?

The answer is, absolutely. Every day I teach clients that being there for those we love is the fuel of intimacy. However, when one crosses the line to self threat, either with self harm, drug abuse, or suicidal threats, private disclosure can become emotional abuse. When friends fish for support with threat and then demand secrecy, they are burdening others in a helpless shackle of emotional violence. Unloading pain on a loved one without taking steps for recovery traps them as a devastated and impotent audience to destruction. That is not friendship.

If you or somebody you love is struggling with emotional overwhelm, numb hopelessness, or an inability to actively problem solve, take these steps for relief:

  • Reach out for professional help.

  • Recognize that these feelings are temporary. The permanent solution of suicide is too devastating to all of those who love you to be a reasonable option.

  • Give yourself the occasional self-compassionate, quiet time it takes to gently process your feelings as you engage in the routines and rituals of everyday life.

  • Avoid alcohol (a depressant).

  • Seek restorative sleep, exercise, and clean, delicious food.

  • Postpone big decisions.

  • Allow your friends the privilege of support and surround yourself with pleasant memories and precious future plans.

  • If you are witness to self-harm threats, whether this is your loved one, your friend, or your child’s friend, notify the person’s loved ones or reach out for professional help. Silently shouldering your knowledge is missing opportunity for potentially life-saving intervention.

Life is a difficult journey, but it is worth the fight of living it well. When in doubt, always err in the direction of compassion. What do you think? To read more about the components of suicide risk, check out my 2014 article The Death of Robin Williams: Suicidal Impulse, the Media, and Your Obligation As a Compassionate Citizen of the Planet.

National Suicide Prevention Hotline: 1-800-273-8255

Live & online chat available 24 hours/day

I’m the mom psychologist who will help you GetKidsInternetSafe.

Onward to More Awesome Parenting,

Tracy S. Bennett, Ph.D.
Mom, Clinical Psychologist, CSUCI Adjunct Faculty
GetKidsInternetSafe.com

Photo Credits

Photo by Ian Espinosa on Unsplash

Yes, Your Kids Can Buy Drugs Online

The United States is in an opioid crisis. No longer are illegal drugs like heroin, or its synthetic, more powerful cousin Fentanyl, only used by inner city addicts and rock stars like Michael Jackson and Tom Petty. Thanks to chronic pain and an overuse of prescription painkillers, Americans from all walks of life are addicted and turning to cheaper and illegal options on the street and online. After two thirteen-year-olds overdosed on fentanyl recently in Utah, the US sought its first indictment of Chinese drug traffickers.

The Opioid Crisis in Perspective

Highly addictive opioids include legally-available prescription pain medicine like Percoset and Oxycontin, as well as the more powerful, illegal drugs heroin and fentanyl. Opioids impact the brain stem, which regulates life-supportive functions like heart rate and breathing. There is little difference between the amount of the drug necessary to get high and the amount that results in overdose. As a result, overdose is common and results from gradual asphyxiation due to suppression of breathing. There has been a seven-fold increase in US overdose from opioids since 1999. In 2014, there were 30,000 opioid related deaths in America. By 2015 that number had increased to 55,000, rising to a staggering 64,000 in 2016. This is almost eight times more American deaths than the post-9/11 wars in Iraq and Afghanistan. 

What is fentanyl?                                        

Fentanyl is an extremely powerful opioid that was responsible for the death of Prince and, more recently, Tom Petty. It is far more addictive than heroin. It induces euphoria and relaxation by affecting the areas of the brain that regulate emotions and pain. Up to 100 times stronger than morphine and 50 times stronger than heroin, just coming into skin contact can result in overdose. It can be taken as a tablet, lozenge, lollipop, transdermal patch, nasal spray, powder that can be smoked, or injected. Although available by prescription, fentanyl is also being made in illegal labs in Mexico. Raw materials are commonly smuggled in from China.

Fentanyl is commonly diluted with other substances like heroin, rat poison, or baking soda for increased profit, thus purity varies from batch to batch. Fentanyl has experienced a growing popularity among heroin users who crave more purity. Only two milligrams of fentanyl (the size of four grains of salt) is enough to kill an average adult.

What is online drug trafficking?

People not only buy drugs on the street, they also buy it on the dark net. The dark net is a hidden underground network where sellers and buyers can evade law enforcement with anonymity and clever encryption. They pay with digital currency, called bitcoin, and the drugs are delivered in their mailbox.

  • There are currently over 20,000 listings for opioids and more than 4,000 for fentanyl being sold on just one of the leading dark net drug markets.

  • From 2004 – 2010, emergency room visits resulting from prescription opioid abuse in children younger than 20 years old rose by 45%.

  • In 2015, 55% of people who died from an overdose of fentanyl additionally tested positive for heroin or cocaine, compared to 42% between 2013 and 2014.

  • A supervised injection site in Canada found that 90% of the heroin used there tested positive for fentanyl. Drug users have become more tolerant to stronger substances, reinforcing demand and raising death rates.

Two Utah Teens Overdose

 

 

 

 

 

 

Grant Seaver and Ryan Ainsworth were 13-year-old best friends from Park City, Utah. They overdosed after older local teens ordered fentanyl from the Internet, also called U-47700, “pink,” or “pinky.” Investigators uncovered conversations about the drug through their social media accounts.

Grant’s father spoke out after the devastating incident saying, “It’s unimaginable that Grant could gain access to a drug like Pinky so easily and be gone so quickly, poof. The pain and brutality of this tragedy is crippling.” A 15-year-old teenager from their community has been identified and charged with distribution of a controlled substance and reckless endangerment in connection with the deaths of Grant and Ryan.

Chinese Drug Traffickers Charged with Criminal Indictments

In a precedent-setting move, the U.S. Justice Department held a press conference stating that two major Chinese drug traffickers have been identified and are up for indictment. The two men identified are Xiabing Yan, 40 and Jian Zhang, 38. Tracing the whereabouts and identifying men like Yan and Zhang is challenging because, like most online drug traffickers, they use multiple identities to conceal their activities, shipments, and profits. They take advantage of the fact that the fentanyl molecule can be distorted in a multitude of ways to create an analogue that is not listed as illegal under US and Chinese law. When regulators are able to identify the new drug and illegalize it, the manufacturers swiftly switch to a new unlisted fentanyl analogue.

The U.S. and China have no formal extradition treaty, thus getting the men here is difficult. Yan was previously charged in a Mississippi federal court with producing and selling illicit substances. The case was brought about by a routine traffic stop, which resulted in the unearthing of a “domestic drug ring that sold various synthetic cannabinoids, called “spice” or “bath salts.” According to Rosenstein, federal authorities “identified more than 100 distributors of synthetic opioids involved with Yan’s manufacturing and distribution networks.”

What You Can Do to Protect Your Kids from Online Drug Sales:

  • Educate: There are many educational programs such as Teen Challenge of California that provide youth with knowledge and skills to help them avoid drug misuse and abuse. Research what programs are available in your area and get your teen Volunteer opportunities can be a great addition to college or job applications.

  • Talk to your children about drugs: Teens who have talked to their parents about drug abuse are half as likely to abuse them as those who do not. Make sure they understand that prescription drugs are not considered safer than any other drug. Be accurate about benefits and dangers. Discuss reasons people choose or are tempted to abuse drugs and offer healthy alternatives.

  • Get specific about fentanyl: Do not leave out the details, be specific about the drug fentanyl and its associated risks. Let them know that it’s being sold as counterfeit OxyContin, Xanax, and other prescription drugs.

  • Set a good example: If you’re using prescription drugs, do so responsibly and explain the purpose for your prescription(s), as well as the risks.

  • Don’t keep your prescriptions easily accessible:

  • Be proactive: Ask your children questions. Know who their friends are, where your child is going, and what kind of activities they are participating in. Ask specifics like, if they have ever been around any drug use. Show sincere interest without being judgmental or overly protective.

  • Keep your teen active: Facilitate hobbies and extracurricular activities for your child that interests them and keeps them engaged.

  • Get them treatment sooner than later if needed & have all member of your family participate in the process.

Our hearts ache for the families of the victims. Dr. Bennett attended Tom Petty’s last concert and is still heartbroken over his death. We need to do better!

Thank you to CSUCI Intern, Katherine Bryan for informing parents about online drug trafficking and the threat it poses to young people. For those who are not familiar with the dark net or the underground drug trafficking site called the Silk Road, please read our previous article, GKIS Sheds Light on the Dark Net: Drug Traffickers, Child Pornographers and Nude Selfies.

I’m the mom psychologist who will help you GetKidsInternetSafe.

Onward to More Awesome Parenting,

Tracy S. Bennett, Ph.D.
Mom, Clinical Psychologist, CSUCI Adjunct Faculty
GetKidsInternetSafe.com

Works Cited

Deputy Attorney General Rod J. Rosenstein Delivers Remarks on Enforcement Actions to Stop Deadly Fentanyl and Other Opiate Substances from Entering the United States.

Fentanyl, Teens, and the Deadly Consequences by Brittany Tackett, MA.

Increases in Drug and Opioid Overdose Deaths in the US from 2000-2014— CDC Report United States, 2000–2014 by Rose A. Rudd, MSPH, Noah Aleshire, JD, Jon E. Zibbell, PhD and R. Matthew Gladden, PhD.

Opioid Dealers Embrace the Dark Web to Send Deadly Drugs by Mail by Nathaniel Popper.

Photo Credits

Photo by The Oily Guru on Flckr.